<include file="public:header" />
<include file="public:left" />
	 <style>
	 td{text-align:center;}
	 </style>
     <section>
      <div class="page_title">
          <h2 class="fl">修改收货人资料</h2>
      </div>

<form class="form-horizontal form-validate" method="post" enctype="multipart/form-data">
	<input type="hidden" name="id" value="7300">
    <ul class="ulColumn2">
        <li>
            <span class="item_name" style="width:120px;">收货人姓名：</span>
            <input type="text" name="remark" class="textbox textbox_295" placeholder="收货人姓名..." value="{$res.remark}"/>
        </li>
        <li>
            <span class="item_name" style="width:120px;">手机号码：</span>
            <input type="text" name="remark" class="textbox textbox_295" placeholder="手机号码..." value="{$res.remark}"/>
        </li>
        <li>
            <span class="item_name" style="width:120px;">省份：</span>
            <input type="text" name="remark" class="textbox textbox_295" placeholder="省份..." value="{$res.remark}"/>
        </li>
        <li>
            <span class="item_name" style="width:120px;">城市：</span>
            <input type="text" name="remark" class="textbox textbox_295" placeholder="省份..." value="{$res.remark}"/>
        </li>
        <li>
            <span class="item_name" style="width:120px;">区/县：</span>
            <input type="text" name="remark" class="textbox textbox_295" placeholder="区/县..." value="{$res.remark}"/>
        </li>
        <li>
            <span class="item_name" style="width:120px;">详细地址：</span>
            <input type="text" name="remark" class="textbox textbox_295" placeholder="详细地址..." value="{$res.remark}"/>
        </li>
        <span class="item_name" style="width:120px;"></span>
        <input type="hidden" name="id"  value="{$id}"/>
        <input type="submit" class="link_btn" value="提交"/>

        </li>
        </ul>
</form>
     </section>
 </div>
</section>
<script>
    $(".express").change(function(){
       var name=$(this).find("option:selected").data('name');

       $(".exprss_name").val(name);
    });
</script>
</body>
</html>
